Stepping Out Singles

Membership

To join
 Stepping Out Singles,
 please complete the following form.

This information will be reviewed by
Stepping Out Singles
prior to being made available to other members.

 

Background:
 (Must Be 19 Or Older To Join)
 (Items in Bold are Required.)

For Information Call:
 (250) 640 - MEET --ask for Kim
Create Username:   Password:
Gender:   Select City:  
First Name:   Last Name:
Home Phone:   Work Phone:
Cellular Phone:   E-Mail:
Call (250) 640-6338  for help with e-mail address.		 Use temp@SteppingOutSingles.com if you don't have an address.
Street Address :  
City   Postal Code:
Personal Quote:
Max. 100 characters
Occupation:   Education:
Birthday:
(e.g. June 3, 1950)		   Will Travel To Date:
Height|:
(? Feet, ? Inches):		   Hair Color:
City of Birth:      
Heritage:      
Eye Color:      

Astrological Sign:
How Did You
Hear About Stepping Out Singles.

Marital Status:

Status:

 


Children:

Do You Have Children:

   Be brief, you only have 20 characters!


Lifestyle:
Cigarettes:  
Alcohol:  
Recreational Drugs:  
Major Medical
Conditions:
(For our records
held confidential)		  
Hobbies & Interests:
(Complete sentences please.)		  
Physical Activities:
(Complete sentences please.)		  
Spiritual Beliefs:
(Complete sentences please.)
Favourite Cuisines/
Restaurants:
(Complete sentences please.)
About Me:
(Complete sentences please.)
Pet Peeves:
(Complete sentences please.)
   
After contacting you and the other person, with mutual consent,
may we give them your telephone number?
 
Give this number to the person

No, don't give number; I will call them.
   


Information About the
Compatible Companion You Seek
Preferred Age Range:
Children:
Qualities I Admire:
(Complete sentences please.)
Extra Special Qualities:
(Have fun with this!)
(Complete sentences please.)
The Person:
(Complete sentences please.)
The Relationship:
 (Expectations)
(Complete sentences please.)